| NPI | 1437537602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JON CLARK Addiction Counselor 701-478-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: ND 1744) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |